Novi, Azman (2022) An integrated telemonitoring framework for insomnia disorder using internet of healthcare things. Doctoral thesis, Universiti Teknikal Malaysia Melaka.
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Abstract
Insomnia is a health disorder caused by a disturbance in the continuity of sleep which causes serious problems for sufferers in carrying out daily activities. The prevalence of chronic insomnia sufferers is increasing in urban city life due to lifestyle and socio-economic conditions in developing countries. Currently, the de facto method to assess sleep disorder is using the Polysomnography device. However, the Polysomnography device is expensive and cumbersome, with the lack availability of device in healthcare services. This results in access limitation of treatment for the patient due to the limited number of devices. Patients in distance from health service should travel which increase time for diagnosis and high cost. Therefore, this study aims to create a solution to increase patient access to insomnia treatment. A new proposed framework could overcome problems in monitoring and diagnosing insomnia disorder. Patients at distance could receive similar performance from specialist as if they come to the hospital. In addition, this research is also proposed a diagnostic device which is portable and cheaper than polysomnography devices. The proposed device can be an alternative to the current polysomnography with low cost. The analysis in this study involves to assess user experience. This study conducted two questionnaires where the first questionnaire is to find out the current treatment conditions, constraints, and needs from the healthcare side to provide effective and efficient treatment and diagnostic for insomnia disorder. The second questionnaire was carried to find out the acceptance and user experience on the proposed framework for telemonitoring systems and its proposed devices for the diagnosis of insomnia. The second questionnaire involved eleven medical officers consisting of doctors and nurses as well as seven patients where the medical officers corresponded to the first and second questionnaires, while the patients only corresponded to the second questionnaire. The results showed that the level of acceptance from both the medical staff and the patients agreed that the telemonitoring system created by the researcher helped the treatment and provided equal access to patients for treatment and diagnosis of insomnia. The results also shows that improvement requirement on the proposed framework of the insomnia telemonitoring system by adding a platform for conducting patient consultations and a learning platform for medical staff remotely. The findings of this study indicate that the telemonitoring framework that has been studied in this study has a positive impact on all parties, both medical and patient, such that the same or even more affordable cost is the biggest concern aspect. Most patients agree on the ease of use of the device.
| Item Type: | Thesis (Doctoral) |
|---|---|
| Uncontrolled Keywords: | Sleep disorders, Treatment, Polysomnography, Insomnia, Patient self-monitoring |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine |
| Divisions: | Library > Tesis > FKP |
| Depositing User: | F Haslinda Harun |
| Date Deposited: | 16 Oct 2023 11:08 |
| Last Modified: | 16 Oct 2023 11:08 |
| URI: | http://eprints.utem.edu.my/id/eprint/26916 |
| Statistic Details: | View Download Statistic |
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